Organization
WEST COAST DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BHAVIK N BHAKTA RDH (DENTAL HYGIENIST)
(323) 482-7408
Entity
Organization
Contact information
Practice address
12730 HAWTHORNE BLVD STE D, HAWTHORNE, CA 90250-3919
(310) 220-0914
Mailing address
4415 ARLINGTON AVE, LOS ANGELES, CA 90043-1407
(323) 482-7408
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32431
—
AR
Enumeration date
11/16/2018
Last updated
11/16/2018
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